Walk-in | Billing Associate

STAR Hospitals; Hyderabad; On-site; INR 300,000 - 600,000; Full time

Job summary

STAR Hospitals is seeking an experienced Inpatient Billing specialist to manage end-to-end hospital billing processes across inpatient, discharge, and insurance contexts. You will coordinate with multiple departments, ensure accurate charge capture, and communicate clearly with patients about bills and settlements.

The role emphasizes accuracy, adherence to tariffs, and timely completion of billing cycles while safeguarding patient confidentiality.

Responsibilities

• Prepare provisional, interim, and final inpatient bills accurately.
• Verify all charges (room rent, doctors, procedures, investigations, pharmacy, implants, consumables).
• Ensure all applicable charges are captured correctly in the HIS/Billing System.
• Verify package rates, tariffs, discounts, approvals, and adjustments.
• Identify and resolve billing discrepancies before final bill closure.
• Coordinate with nursing, pharmacy, laboratory, radiology, OT, ICU, and other departments for pending charges.
• Prepare and finalize bills at the time of discharge.
• Ensure timely billing clearance to avoid discharge delays.
• Explain bill details, deposits, outstanding amounts, and final settlements to patients/attendants.
• Coordinate with insurance companies and TPAs for cashless cases.
• Follow up for pre-authorizations, enhancements, queries, and final approvals.
• Verify insurance-approved amounts against the final bill.
• Ensure complete documentation for claim submission.
• Follow up on pending claims, deductions, and settlement issues.
• Collect patient deposits, part-payments, and outstanding balances.
• Issue receipts and maintain accurate payment records.
• Reconcile daily billing and collection transactions.
• Follow up on outstanding patient/credit accounts as assigned.
• Monitor patient accounts for missed or delayed charge entries.
• Coordinate with departments to ensure real-time capture of services and consumables.
• Ensure billing is carried out as per approved hospital tariffs and packages.
• Support initiatives to minimize billing errors and revenue leakage.
• Handle patient and attendant queries related to bills, payments, packages, and insurance.
• Explain billing components clearly and professionally.
• Resolve routine billing concerns and escalated complex issues to the appropriate authority.
• Maintain patient confidentiality at all times.

Job description

Key Responsibilities:

1. Inpatient Billing

• Prepare provisional, interim, and final inpatient bills accurately.
• Verify room rent, doctor charges, procedures, investigations, pharmacy, implants, consumables, and other services.
• Ensure all applicable charges are captured correctly in the HIS/Billing System.
• Verify package rates, tariffs, discounts, approvals, and adjustments.
• Identify and resolve billing discrepancies before final bill closure.

2. Discharge Billing

• Coordinate with nursing, pharmacy, laboratory, radiology, OT, ICU, and other departments for pending charges.
• Prepare and finalize bills at the time of discharge.
• Ensure timely billing clearance to avoid unnecessary discharge delays.
• Explain bill details, deposits, outstanding amounts, and final settlements to patients/attendants.

3. Insurance & TPA Coordination

• Coordinate with insurance companies and TPAs for cashless cases.
• Follow up for pre-authorizations, enhancements, queries, and final approvals.
• Verify insurance-approved amounts against the final bill.
• Ensure complete documentation for claim submission.
• Follow up on pending claims, deductions, and settlement issues.

4. Payment & Collection

• Collect patient deposits, part-payments, and outstanding balances.
• Issue receipts and maintain accurate payment records.
• Reconcile daily billing and collection transactions.
• Follow up on outstanding patient/credit accounts as assigned.

5. Charge Capture & Revenue Control

• Monitor patient accounts for missed or delayed charge entries.
• Coordinate with departments to ensure real-time capture of services and consumables.
• Ensure billing is carried out as per approved hospital tariffs and packages.
• Support initiatives to minimize billing errors and revenue leakage.

6. Patient Service

• Handle patient and attendant queries related to bills, payments, packages, and insurance.
• Explain billing components clearly and professionally.
• Resolve routine billing concerns and escalated complex issues to the appropriate authority.
• Maintain patient confidentiality at all times.